Provider Demographics
NPI:1023054491
Name:MELODY ANGELES-RIPARIP MD INC APC
Entity type:Organization
Organization Name:MELODY ANGELES-RIPARIP MD INC APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANGELES-RIPARIP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-856-5500
Mailing Address - Street 1:1433 W MERCED AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3402
Mailing Address - Country:US
Mailing Address - Phone:626-856-5500
Mailing Address - Fax:626-856-5550
Practice Address - Street 1:1433 W MERCED AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3402
Practice Address - Country:US
Practice Address - Phone:626-856-5500
Practice Address - Fax:626-856-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74398174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty